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具有心脏5型腺苷酸环化酶抑制特性的抗病毒药物阿糖腺苷,对氟烷麻醉犬的心脏血流动力学或电生理参数没有影响。

Antiviral drug vidarabine possessing cardiac type 5 adenylyl cyclase inhibitory property did not affect cardiohemodynamic or electrophysiological variables in the halothane-anesthetized dogs.

作者信息

Wada Takeshi, Nakamura Yuji, Cao Xin, Ohara Hiroshi, Izumi-Nakaseko Hiroko, Ando Kentaro, Nakazato Yuji, Sugiyama Atsushi

机构信息

Department of Pharmacology, Faculty of Medicine, Toho University.

出版信息

J Toxicol Sci. 2016 Feb;41(1):115-22. doi: 10.2131/jts.41.115.

Abstract

Vidarabine has been used for the treatment of patients with local and systemic herpes virus infection; moreover, it was recently reported that it inhibits cardiac type 5 adenylyl cyclase. Furthermore, vidarabine has been shown to suppress atrial fibrillation and improve congestive heart failure in experimental models of mice induced by the isoproterenol infusion. Since information that can explain its experimentally demonstrated efficacy against congestive heart failure and atrial fibrillation remains limited, in this study we precisely assessed cardio-electropharmacological effect using the halothane-anesthetized canine model. Vidarabine was intravenously administrated in three escalating doses of 1, 10, 100 mg/kg over 10 min with a pause between the doses (n = 4). Meanwhile, the vehicle dimethyl sulfoxide in volumes of 0.033, 0.033 and 0.33 mL/kg was intravenously administrated in the same manner as was vidarabine (n = 4). No significant difference was detected in any cardiohemodynamic or electrophysiological variables between the vehicle- and vidarabine-treated groups, which indicates that effective doses of vidarabine adequately inhibiting type 5 adenylyl cyclase did not affect the cardiovascular variables in vivo at all, showing its cardiac safety profile under physiological condition. Thus, the clinical utility of vidarabine might be limited to the pathological situation including congestive heart failure with increased adrenergic tone and/or sympathetic nerve-dependent atrial fibrillation.

摘要

阿糖腺苷已被用于治疗局部和全身性疱疹病毒感染的患者;此外,最近有报道称它可抑制心脏5型腺苷酸环化酶。此外,在异丙肾上腺素输注诱导的小鼠实验模型中,阿糖腺苷已被证明可抑制心房颤动并改善充血性心力衰竭。由于能够解释其对充血性心力衰竭和心房颤动的实验性疗效的信息仍然有限,在本研究中,我们使用氟烷麻醉的犬模型精确评估了心脏电药理学效应。阿糖腺苷以1、10、100mg/kg三种递增剂量在10分钟内静脉给药,剂量之间有停顿(n = 4)。同时,以与阿糖腺苷相同的方式静脉注射体积为0.033、0.033和0.33mL/kg的溶媒二甲基亚砜(n = 4)。在溶媒组和阿糖腺苷治疗组之间,未检测到任何心脏血流动力学或电生理变量的显著差异,这表明有效剂量的阿糖腺苷充分抑制5型腺苷酸环化酶在体内根本不影响心血管变量,显示出其在生理条件下的心脏安全性。因此,阿糖腺苷的临床应用可能仅限于包括肾上腺素能张力增加和/或交感神经依赖性心房颤动的充血性心力衰竭在内的病理情况。

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